Individual provider Active NPI

Robert I Oliver Jr., M.D.

  • Specialist
  • Birmingham, AL
National Provider Identifier
1891880928
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00026703 Issued in AL
Practice address
2000 Stonegate TRL
Suite 100
Birmingham, AL 35242-2246
Phone
(205) 298-8660
Fax
(205) 298-8664
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00026703 AL Primary

Addresses

Primary practice location

2000 Stonegate TRL
Suite 100
Birmingham, AL 35242-2246

Mailing address

2000 Stonegate TRL
Suite 100
Birmingham, AL 35242-2246
Phone (205) 298-8660

Other identifiers 6

IdentifierTypeStateIssuer
51543791OtherALBCBS OF AL
51543792OtherALBCBS OF AL
51532468OtherALBCBS OF AL
51545354OtherALBCBS OF AL
630697924OtherTAX IDENTIFICATION NUMBER
51532469OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000712 AL Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 4183663420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of South Alabama College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Stonegate TRL
Suite 100
Birmingham, AL 35242-2237
Phone (205) 298-8660

Hospital & facility affiliations

  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy69
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00026703ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Specialists Specialist CurrentSince Jan 1, 2006 Accepting new patients
Southeast Anesthesia Associates, LLC PastSince Jan 1, 2006 Accepting new patients
Nashville Plastic Surgery Institute, PLLC Past Accepting new patients

Locations

2000 Stonegate Trl
Ste 100
Vestavia Hls, AL 35242
Phone (205) 298-8660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1891880928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422246",
            "telephone_number": "205-298-8660",
            "fax_number": "205-298-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422246",
            "telephone_number": "205-298-8660",
            "fax_number": "205-298-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00026703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51543791",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51543792",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51532468",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51545354",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "630697924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51532469",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.